Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 15849 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.

Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all thetrillions and trillions of neuronsthatDIEeach daybecause there areNOeffective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Wednesday, May 30, 2018

What’s your cognitive life expectancy? Maybe longer than you think

Now we just need to get our stroke medical professionals to tell us what our cognitive life expectancy is based upon all the lost cognitive years we lost. And what can be done to prevent such decline. I expect a lot from my stroke medical team and publicly there is no reason to believe there is anything they actually know about 100% stroke recovery. I'm still going to be going strong at age 94, that gives me 32 years to convince the stroke medical world they know nothing about stroke and are doing nothing to solve the problems in stroke. I've written thousands of posts delineating what can and needs to be done. It is so fucking simple. 5 steps: Naysayers not allowed, you're not going to shit on my parade. 1. Describe the problems exactly.2. Write thousands of RFPs to researchers to solve those problems.3. Fund them with foundation grants.4. Write stroke rehab protocols based on the research.5. Get the Nobel prize in medicine

Share story

You’ve turned 65 and exited middle age. What are the chances you’ll develop cognitive impairment or dementia in the years ahead?
New research about “cognitive life expectancy” — how long older
adults live with good versus declining brain health — shows that after
age 65 men and women spend more than a dozen years in good cognitive
health, on average. And, over the past decade, that time span has been
expanding.
By
contrast, cognitive challenges arise in a more compressed time frame in
later life, with mild cognitive impairment (problems with memory,
decision-making or thinking) lasting about four years, on average, and
dementia (Alzheimer’s disease or related conditions) occurring over 1 ½
to two years.
Even
when these conditions surface, many seniors retain an overall sense of
well-being, according to new research presented last month at the
Population Association of America’s annual meeting.

Recent research finds that:
Most seniors don’t have cognitive impairment or dementia. Of
Americans 65 and older, about 20 to 25 percent have mild cognitive
impairment while about 10 percent have dementia, according to Dr.
Kenneth Langa, an expert in the demography of aging and a professor of
medicine at the University of Michigan. Risks rise with advanced age,
and the portion of the population affected is significantly higher for
people over 85.
Langa’s research shows that the prevalence of dementia has fallen in
the U.S. — a trend observed in developed countries across the globe. A
new study from researchers at the Rand Corp. and the National Bureau of
Economic Research finds that 10.5 percent of U.S. adults age 65 and
older had dementia in 2012, compared with 12 percent in 2000.
But gains are unequally
distributed. Notably, college graduates can expect to spend more than 80
percent of their lifetime after age 65 with good cognition, according
to a new study from researchers at the University of Southern California
and the University of Texas at Austin. For people who didn’t complete
high school, that drops to less than 50 percent.
Older adults have an expanding period of good brain health. With
longer lives and lower rates of dementia, most seniors are enjoying more
years of life with good cognition — a welcome trend.
Two years ago, Eileen Crimmins, AARP chair of gerontology at the
University of Southern California’s Leonard Davis School of Gerontology,
and her colleagues documented this shift in the United States in
research using data about adults 65 and older from the Health and
Retirement Study.
In
2000, she found, a 65-year-old woman could expect to live 12.5 years
with good cognition, four years with mild cognitive impairment and 2.6
years with dementia, on average. A decade later, in 2010, the period in
good cognition had expanded to 14.1 years, with 3.9 years spent with
mild cognitive impairment and 2.3 years spent with dementia.
For men, the 2010 figures are different: 12.5 years with good
cognition after age 65 (compared with 10.7 in 2000); 3.7 years with mild
cognitive impairment (the same as in 2000); and 1.4 years with dementia
(compared with 1.8 years in 2010).
Improvements
in education and nutrition, better control of hypertension and
cholesterol, cognitively demanding jobs in middle age, and social
engagement in later life may all contribute to this expanded period of
good brain health, the study noted.
Well-being often coexists with impairment. Bardo’s research adds
another dimension to this literature by addressing two questions: Do
older adults with cognitive impairment feel they have a good quality of
life and, if so, for how long?
His study, which has not yet been published, focuses on
happiness as an important indicator of quality of life. The data come
from thousands of adults 65 and older who participated in the Health and
Retirement Study between 1998 and 2012 and who were asked if they were
happy “all/most of the time” or “some/none of the time” during the past
week.
These answers were combined with information about cognitive
impairment derived from tests that examined seniors’ ability to recall
words and to count backward, among other tasks.
Findings suggest that cognitive impairment is not a deterrent to
happiness. Of the period that seniors spent cognitively impaired, about
5.5 years on average, they reported being happy for 4.8 years — about 85
percent of the time. Of the 12.5 years that older adults spent in good
cognitive health, they reported being happy nearly 90 percent of the
time.
The bottom line: “Cognitive impairment doesn’t equate with
unhappiness,” Bardo said. Still, he cautioned that his study didn’t look
at how happiness correlates with the extent of impairment. Certainly,
people with moderate to severe dementia experience serious difficulties
in their lives, as do their caregivers, he noted.
Jennifer Ailshire, assistant professor of gerontology and sociology
at USC’s Leonard Davis School of Gerontology, noted that happiness is
often tied to personality characteristics, so this measure “doesn’t
necessarily reflect how individuals with cognitive impairment are
interacting with other people or their environment.”
Laura Gitlin, dean of the college of nursing and health professions
at Drexel University, observed that happiness is only one element of
living well with cognitive impairment and dementia. Going forward, she
suggested, “there is much work to do” to identify what contributes more
broadly to well-being and a positive quality of life in older adults
with these conditions.

No comments:

Post a Comment

Total Pageviews

Top 25 stroke blog

email me

Ask Dean
Any local survivors close to East Lansing, drop me a note and we can have coffee sometime.
Questions or comments or would you like me to discuss something? I will try to answer, No medical diagnosis given or received. I am damned opinionated so don't expect fluff.

Copyright

Canoeing Moose

Just because my goal is to get back to canoeing and this moose is so ripped and cool looking. And he's even a solo paddler. But his right hand on the T-grip is wrong and the right arm should be extended.